HomeMy WebLinkAbout1033 W Lauridsen Boulevard - Building (2) •
ELECTRICAL PERMIT t
CITY OF PORT ANGELES •
360-417-4735 .(yA*
Application Number , 17-00001609 Date 11/06/17
Application pin.number . 544060
Property Address 1033 W LAURIDSEN BLVD REPORT STATE SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-0-4-5480-0000-
Application type description ELECTRICAL ONLY on your excise tax form
Subdivision Name to the City of Port Angeles
Property Use
Property Zoning UNKNOWN (Location Code 0502)
Application valuation . . . 0,
Application desc
LED lighting upgrade
Owner Contractor
CLALLAM COUNTY OWNER
PORT ANGELES WA 98362
Permit ELECTRICAL ALTER COMMERCIAL
Additional desc .
Permit Fee . . . 74.00 Plan Check Fee . . .00
Issue Date . 11/06/17 Valuation . . . . 0
Expiration Date . 5/05/18
Qty Unit Charge Per Extension
1.00 74.0000 BCH EL-COMM BRANCH CIR WO/ S/F 74.00
Fee summary Charged Paid Credited Due
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Permit Fee Total 74.00 74.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 74.00 . 74.00 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
I1/3D11 1 1 3
FINAL 'w
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
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CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Division/Electrical Inspections 1, 1160111 7;
it— ii ...-....31 ,...,
321 East Fifth Street-P.O.Box 1150/Port Angeles Washington,98362 "ii1111•11111 --4)
Ph: (360)417-4735 Fax: (360)417-4711 W
Date: /0-10—/7 _(Multi-Family or ommercial*
*Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: /03.? Li/ 57 t.,..9cARIASetisi 8 L V A•
Building Square Footage: 41 00
Description of above A PD 3 4er1 C gaff TotAit 111,4,4% .5-I 0.• LE D P.0 A LC- Ph G•ef 712 ..S.-6,4 1-4 es"/0x. of
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Owner Information Contractor Information
Name: C 49(-LAP* Coyle,/TY AMP Dgfir. Name: fe9,44 a*
Mailing Address: .12-3 fitsr +To Sr. SM, Mailing Address:
CilyentrANULXI State: m44 Zip: 98362 City: State: Zip:
Phone:360-477469( Fax: 14•-417-gIsf Phone: Fax:
License#/Exp. License#/Exp.
Item Unit Charge Qty Total(Qty Multiplied by Unit Charge)
Service/Feeder 200 Amp. $132.00 $
Service/Feeder 201-400 Amp. $160.00 $
Service/Feeder 401-600 Amp $225.00 $
Service/Feeder 601-1000 Amp. $288.00 $
Service/Feeder over 1000 Amp. $410.00 $
Branch Circuit W/Service Feeder $ 5.00 $
Branch Circuit W/O Service Feeder $ 74.00 $
Each Additional Branch Circuit $ 5.00 $
Branch Circuits 1-4 $ 86.00 $
Temp.Service/Feeder 200 Amp. $102.00 $
Temp.Service/Feeder 201-400 Amp. $121.00 $
Temp.Service/Feeder 401-600 Amp. $164.00 $
Temp.Service/Feeder 601-1000 Amp. $185.00 $
Portal to Portal Hourly $ 96.00 $
Sign/Outline Lighting $ 88.00 $
Signal Circuit!Limited Energy-Multi-Family $ 64.00 $
Signal Circuit/Limited Energy/First 1500 sf-Commercial $ 96.00 $
Note: $5.00 for each additional 1500 sf
Renewable Electrical Energy-5KVA System or Less $113.00 $
Thermostat $ 56.00 $
Note:$5.00 for each additional T-Stat
$ Total
Owner as defined by RCW.19.28.261:(1)Owner will occupy the structure for two years after this electrical permit is finalized.(2)Owner is required
to hire an electrical contractor if above said properly is for sale,rent or lease. Permit expires after six months of last inspection.
After reading the above statement,I hereby certify that I am the owner of the above named property or a licensed electrical contractor.I am making
the electrical installation or alteration in compliance with the electrical laws,N.E.C.,RCW.Chapter 19.28,WAC.Chapter 296-46B,The City of Port
Angeles Municipal Code,and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature of owner,electrical contractor or electrical administrator: 0 Cash 0 Check
0 Credit Card tt
X '112.- Dated: /a -I°-I 7 0110112012
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